TERRA L KOLACKI (NPI# 1033764998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033764998 |
| Entity Type | Individual |
| Full Name | TERRA L KOLACKI |
| Credential | APRN |
| Practice Address |
2720 E New York St Ste 108 Aurora IL 60502-9507 |
| Practice Telephone | 6308209300 |
| Mailing Telephone | 6308209300 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.019751 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2720 E NEW YORK ST STE 108 |
| City | AURORA |
| State | IL |
| Zip Code | 60502-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
| 1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
| 1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
| 1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
| 1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
| 1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
| 1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
| 1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
| Find all providers in zip 60502 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1124639539 | Jesika Meghan Florin | Nurse Practitioner | 280 Poplar Ct, Aurora, OH 44202-9157 | 2020-08-11 |
| 1740846112 | Oksana Chien | Nurse Practitioner | 2040 Ogden Ave Ste 604, Aurora, IL 60504-7206 | 2019-05-11 |
| 1861895807 | Teresa Tanabe | Nurse Practitioner | 3551 Chambers Rd # A-d, Aurora, CO 80011-1330 | 2014-10-05 |
| 1497171516 | Kelsey Bridgewater Berge | Nurse Practitioner | 15901 East Briarwood Circle, Suite 200, Aurora, CO 80016 | 2014-03-13 |
| 1801027180 | Veronica J Reza | Nurse Practitioner | 3091 S Jamaica Ct, Aurora, CO 80014-2657 | 2009-08-04 |
| 1659544757 | Maureen Patrice Davis | Nurse Practitioner | 13123 E 16th Ave # B361, Aurora, CO 80045-7106 | 2008-04-09 |
| 1205020799 | Advanced Practice Associates | Nurse Practitioner | 580 Breckenridge Dr, Aurora, IL 60504-5259 | 2007-08-28 |
| 1033232541 | Joan Irene Primozich | Nurse Practitioner | 1400 S Potomac St Ste 190, Aurora, CO 80012-4514 | 2007-04-09 |
| 1952498891 | Jennifer Rugeon Mooney | Nurse Practitioner | 12348 E Montview Blvd Fl 2, Aurora, CO 80045-7103 | 2006-10-10 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.